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Board Meeting June 29, 2011   Haiti Programs FY 2012
Areas of involvement Approaches Outcomes/Outputs Community-based health outreach Animal husbandry Clinic support Supporting CHWs, TBAs Farmer training and support  # Trained CHWs, TBAs # patients seen at clinic (mobile & stationery) #births assisted by TBAs # vaccinations provided by CHWs # families participating in goat training # pregnant goats distributed GHA in Haiti… Technical interventions in health:  General health promotion (CHWs), MCH (primarily through TBA outreach) primary health care (at health facility, includes HIV testing);  Other technical interventions:  skill-building in goat care; follow-up care
What do we have to work with… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Family unit…adult male,  female,  children, infants,  grand parents, aunts, uncles…. Clinic/dispensary/ hospital Church/FBO CHW/TBA/ Animal  HW Children  under 5 Local committee-- health, savings,  women's groups Care groups Municipal/ political  council NGO/CBO/ (other services)… Inst. Mechanism  (state) What makes up a community (as we would imagine it)? Pregnant  women Socio-cultural context Etc, etc? Adolescents  (with raging hormones)
Any number and types of services by other NGOs/ INGOs/CBOS Specific interventions (FP, WASH, clinical referrals and care, HIV/STI, micro credit, training-skill building,??) The state, also a service provider This could be  mothers/fathers groups/savings groups/municipal councils Clip art, source: all over the internet Bringing it all together…
What does a CHW do now?
What could a CHW do?  Source: Earth Institute, Columbia Univ, 2010
CHW sub-system as part of the PHC system Source: Earth Institute, Columbia Univ, 2010
Goat Program training—what we do now
Goat Program services—what we do now
Goat Program training—what we could do
Goat Program services—what we could do
Integration?  Between   Health and Rural Development ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],From projects and programs to community-driven change…. Ref: Tear fund (1999)
Outputs for FY 2012: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outputs , contd:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Building our own capacity (in FY ’12) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Global Health Action-Haiti

  • 1. Board Meeting June 29, 2011 Haiti Programs FY 2012
  • 2. Areas of involvement Approaches Outcomes/Outputs Community-based health outreach Animal husbandry Clinic support Supporting CHWs, TBAs Farmer training and support # Trained CHWs, TBAs # patients seen at clinic (mobile & stationery) #births assisted by TBAs # vaccinations provided by CHWs # families participating in goat training # pregnant goats distributed GHA in Haiti… Technical interventions in health: General health promotion (CHWs), MCH (primarily through TBA outreach) primary health care (at health facility, includes HIV testing); Other technical interventions: skill-building in goat care; follow-up care
  • 3.
  • 4. Family unit…adult male, female, children, infants, grand parents, aunts, uncles…. Clinic/dispensary/ hospital Church/FBO CHW/TBA/ Animal HW Children under 5 Local committee-- health, savings, women's groups Care groups Municipal/ political council NGO/CBO/ (other services)… Inst. Mechanism (state) What makes up a community (as we would imagine it)? Pregnant women Socio-cultural context Etc, etc? Adolescents (with raging hormones)
  • 5. Any number and types of services by other NGOs/ INGOs/CBOS Specific interventions (FP, WASH, clinical referrals and care, HIV/STI, micro credit, training-skill building,??) The state, also a service provider This could be mothers/fathers groups/savings groups/municipal councils Clip art, source: all over the internet Bringing it all together…
  • 6. What does a CHW do now?
  • 7. What could a CHW do? Source: Earth Institute, Columbia Univ, 2010
  • 8. CHW sub-system as part of the PHC system Source: Earth Institute, Columbia Univ, 2010
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  • 17.

Notas do Editor

  1. These are some questions that we as an organization need to keep asking ourselves so we keep our work focused.
  2. So given all that we would like to do, what do we have to contend with? Are there other elements missing here?
  3. M-health as a tool for CHWs; We work with community groups or representatives, who will work with us to identify or hone whichever intervention or program.
  4. WE may not be doing this right now, but we should be thinking this way.